Organization
MIDLAND KIDNEY CARE PLLC
Active
Other names
Permian Nephrology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN VALLE (PRESIDENT)
(781) 699-9362
Entity
Organization
Contact information
Practice address
3302 W GOLF COURSE RD STE 100, MIDLAND, TX 79703-5110
(432) 522-2304
(432) 522-2307
Mailing address
3302 W GOLF COURSE RD STE 100, MIDLAND, TX 79703-5110
(432) 522-2304
(432) 522-2307
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00Y9Y6
BCBSTX
TX
05
—
1881067973
—
TX
Enumeration date
11/11/2015
Last updated
07/24/2024
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